From blockbuster deals, to unprecedented medical and technology breakthroughs, there is a major development in the healthcare industry nearly every day. We see three foundational shifts taking shape: the move from mandates to choice, regulation to competition, and subsidies to actuarial soundness. These moves are driving revolutionary disruption and improving healthcare delivery for patients, providers, payers, drug companies, and investors. Here are the top trends we predict will shape the industry in 2018.